Individual
HALLE K HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CES
Contact information
Practice address
7930 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2943
(317) 497-6024
(317) 497-2507
Mailing address
9881 S 575 W, FORTVILLE, IN 46040-9221
(317) 263-4252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003744A
IN
2255A2300X
Athletic Trainer
AT006785
OH
Other
Enumeration date
10/31/2022
Last updated
01/19/2026
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